Multisystem inflammatory syndrome in children associated with SARS-CoV-2: differential diagnosis in real clinical practice
N.V. SKRIPCHENKO1, 2, A.A. VILNITS1, 2, M.K. BEKHTEREVA1, 2, E.YU. SKRIPCHENKO1, 2, A.I. KONEV1, 2, K.V. MARKOVA1, YU.E. KONSTANTINOVA1
1Pediatric Research and Clinical Center for Infectious Diseases, Saint Petersburg
2Saint Petersburg State Pediatric Medical University, Saint Petersburg
Contact details:
Skripchenko N.V. — MD, Professor, Honored Researcher of the Russian Federation, Deputy Director for Research, Head of the Department of Infectious Diseases
Address: 9 Professor Popov St., Saint Petersburg, Russian Federation, 197022, tel.: +7 (812) 234-10-38, e-mail: snv@niidi.ru
Multisystem inflammatory syndrome in children associated with SARS-CoV-2 (MIS-C), which has signs of Kawasaki disease, can occur under the guise of various diseases and is characterized by a variety of clinical symptoms, severe damage to organs and systems. The polymorphism of the clinical picture of the disease causes difficulties in making a diagnosis, requires an integrated approach in the diagnosis and treatment of such patients, as well as long-term dynamic monitoring by specialized doctors (neurologist, cardiologist, hematologist, etc.). The article presents two clinical cases of children with MIS-C. The patients were hospitalized with suspected neuroinfection (meningitis?), however, a correctly collected medical history and clinical and laboratory data that met the WHO criteria made it possible to make the diagnosis and conduct adequate complex therapy.
Key words: multisystem inflammatory syndrome in children associated with SARS-CoV-2, clinical case, neuroinfections, meningitis, COVID-19.
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